TSDFT Theatre Changing Rooms Audit v. 1.1

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Environment - Theatre Staff Changing Rooms

• Is the environment visibly clean?

  Yes

  No

  N/A

• Is the environment free from any visible damage?

  Yes

  No

  N/A

• Is furniture made of impermeable and washable materials?

  Yes

  No

  N/A

• Are all furnishings and fittings visibly clean?

  Yes

  No

  N/A

• Are all furnishings and fittings in a good state of repair?

  Yes

  No

  N/A

• Are all surfaces smooth, impervious (for easy cleaning) and with coved edges?

  Yes

  No

  N/A

• Is the floor visibly clean?

  Yes

  No

  N/A

• Is the floor covering washable and impervious to moisture?

  Yes

  No

  N/A

• Is the flooring in a good state of repair?

  Yes

  No

  N/A

• Are there dedicated hand wash basins available?

  Yes

  No

  N/A

• Is the hand wash basin a a good state of repair?

  Yes

  No

  N/A

• Is the hand wash basin visibly clean?

  Yes

  No

  N/A

• Are hand wash basins free from extraneous items?

  Yes

  No

  N/A

• Is the soap dispensed from a single use cartridge?

  Yes

  No

  N/A

• Is the liquid soap dispenser wall mounted?

  Yes

  No

  N/A

• Is the soap dispenser visibly clean?

  Yes

  No

  N/A

• Are paper towels available from an enclosed dispenser?

  Yes

  No

  N/A

• Is there a hands free domestic waste bin available for the disposal of paper towels?

  Yes

  No

  N/A

• Is the foot pedal of the domestic waste bin in good working order?

  Yes

  No

  N/A

• Is the domestic waste bin visibly clean, including lid and pedal?

  Yes

  No

  N/A

• Is the domestic waste waste bin in good working condition?

  Yes

  No

  N/A

• Are hand care lotion dispensers available in staff changing rooms?

  Yes

  No

  N/A

• Are adequate supplies of theatre clothing provided?

  Yes

  No

  N/A

• Is theatre clothing stored in a clean environment free from likely contamination?

  Yes

  No

  N/A

• Is theatre clothing visibly clean?

  Yes

  No

  N/A

• Is theatre clothing in a good state of repair?

  Yes

  No

  N/A

• Are there adequate supplies of linen skips for staff to place used theatre scrubs in?

  Yes

  No

  N/A

• Comments

• Signed

  Sign